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APOTHEOSIS HEALTH
NPI 1497627657
Clinic/Center - Primary Care in Bangor, ME

Active since September 18, 2025CLIA 20D2324769 · Waiver
4 UNION PLZ STE 3, BANGOR, ME 04401(207) 952-8784(207) 543-4502 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Apotheosis Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

APOTHEOSIS HEALTH (NPI 1497627657) is a healthcare organization registered as a primary care in Bangor, Maine and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Alessandra Tuttle, Fnp, as its authorized official.

NPPES Registry Identity

NPI1497627657
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAPOTHEOSIS HEALTH
Location Address4 UNION PLZ STE 3Bangor, ME 04401-4881
Mailing Address4 Union Plz Ste 3Bangor, ME 04401-4881 · (207) 952-8784 · Fax (207) 543-4502
Phone(207) 952-8784
Fax(207) 543-4502
Organization SubpartNo
Authorized OfficialAlessandra TuttleFnp · (207) 952-8784
Enumeration DateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
✔ NPI 1497627657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4 UNION PLZ STE 3, Bangor, ME 04401
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2324769

Apotheosis Health · Bangor, ME
Active · expires Jun 1, 2027
CLIA Number20D2324769
Laboratory TypeNurse Prac. Primary Care
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorAlessandra G. Tuttle
Laboratory Phone(207) 952-8784
Laboratory LocationApotheosis Health4 Union St, Suite 3, Bangor, ME 04401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Apotheosis Health's NPI number?

The NPI number for Apotheosis Health is 1497627657. It was assigned to this organization in the NPPES registry on September 18, 2025.

Where is Apotheosis Health located?

Apotheosis Health is located at 4 Union Plz Ste 3, Bangor, ME 04401. The listed phone number is (207) 952-8784.

What is Apotheosis Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Apotheosis Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2324769) is associated with this NPI, valid through June 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Apotheosis Health was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.